Healthcare Provider Details

I. General information

NPI: 1306931381
Provider Name (Legal Business Name): ANGELA CHEN-SOLIS D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8581 WESTMINSTER AVE.
GARDEN GROVE CA
92844
US

IV. Provider business mailing address

16222 HONOLULU LANE
HUNTINGTON BEACH CA
92649
US

V. Phone/Fax

Practice location:
  • Phone: 714-894-9000
  • Fax:
Mailing address:
  • Phone: 714-846-6428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28881
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: